Journal ArticleDOI
The prevalence and management of dementia and other psychiatric disorders in nursing homes.
Barry W. Rovner,Pearl S. German,Jeremy Broadhead,Richard Morriss,Larry J. Brant,Jane Blaustein,Marshal F. Folstein +6 more
TLDR
The majority of nursing home residents have psychiatric disorders on admission, and that their management is often quite restrictive, demonstrating that the best methods of treatment for nursing home patients with mental disorders are now needed.Abstract:
The prevalence of psychiatric disorders among new admissions to nursing homes is unknown. Such data are needed to estimate the psychiatric needs of this population. We report the prevalence of specific psychiatric disorders in 454 consecutive new nursing home admissions who were evaluated by psychiatrists and diagnosed according to the Diagnostic and Statistical Manual of Mental Disorders, third edition, revised. Eighty percent had a psychiatric disorder. The commonest were dementia syndromes (67.4%) and affective disorders (10%). Also, 40% of demented patients had additional psychiatric syndromes such as delusions or depression, and these patients constituted a distinct subgroup that predicted frequent use of restraints and neuroleptics, and the greatest consumption of nursing time. These data demonstrate that the majority of nursing home residents have psychiatric disorders on admission, and that their management is often quite restrictive. Research is now needed to determine the best methods of treatment for nursing home patients with mental disorders.read more
Citations
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Journal ArticleDOI
Prevalence of depression and depression recognition in nursing homes
TL;DR: The prevalence of depressive disorders among nursing home residents is high; depression recognition is relatively low, with only 37 %–45 % of cases diagnosed by psychiatrists recognized as depressed by staff.
Journal ArticleDOI
The Prevalence of Dementia in a Statewide Sample of New Nursing Home Admissions Aged 65 and Older Diagnosis by Expert Panel
Jay Magaziner,Pearl S. German,Sheryl Zimmerman,J. Richard Hebel,Lynda C. Burton,Ann L. Gruber-Baldini,Conrad May,Steven J. Kittner +7 more
TL;DR: In Maryland, the prevalence of dementia was estimated in 2,285 new admissions age 65 1 to a statewide sample of 59 nursing homes in Maryland, 1992•1995 as discussed by the authors, with an upper bound estimated at 54.5% (CI: 49.9−59.1).
Journal ArticleDOI
The MDS Cognition Scale : a valid instrument for identifying and staging nursing home residents with dementia using the Minimum Data Set
TL;DR: The development and validation of an MDS‐based cognitive index, the MDS Cognition Scale (MDS‐COGS), is reported by evaluating it against two popular dementia rating scales, the Global Deterioration Scale and the Mini‐Mental State Examination (MMSE).
Journal ArticleDOI
Depression and Mortality
Barry W. Rovner,Pearl S. German,Larry J. Brant,Rebecca D. Clark,Lynda C. Burton,Marshal F. Folstein +5 more
TL;DR: Major depressive disorder, but not depressive symptoms, was a risk factor for mortality over 1 year independent of selected physical health measures and increased the likelihood of death by 59%.
Journal ArticleDOI
A Randomized Trial of Dementia Care in Nursing Homes
TL;DR: To evaluate the efficacy of a dementia care program to reduce behavior disorders in nursing home patients with dementia, a large number of patients have shown signs of dementia-like symptoms.
References
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